TY - JOUR
T1 - Coeliac plexus block in the management of chronic abdominal pain due to severe diabetic gastroparesis
AU - Wu, Dennis Jason Yang
AU - Dib, Chadi
AU - Hoelzer, Bryan
AU - McMahon, Molly
AU - Mueller, Paul
PY - 2009/11/26
Y1 - 2009/11/26
N2 - Abdominal pain can be disabling in patients with gastroparesis. The pathogenesis of pain in these individuals is poorly understood. Agents commonly used in clinical practice, including tricyclic antidepressants, gabapentin, and pregabalin, have remained largely unsatisfactory in treating this pain. We report the case of a 50-year-old woman presenting with chronic unrelenting abdominal pain due to severe diabetic gastroparesis that was managed successfully with coeliac plexus block with local anaesthesia and steroid injection. Adequate analgesia was achieved and maintained for 10 weeks following the coeliac plexus block, which allowed elimination of opiate requirements for pain management (and avoidance of narcotic associated constipation), continuation of percutaneous endoscopy jejunostomy tube feedings, and avoidance of long term parenteral nutrition.
AB - Abdominal pain can be disabling in patients with gastroparesis. The pathogenesis of pain in these individuals is poorly understood. Agents commonly used in clinical practice, including tricyclic antidepressants, gabapentin, and pregabalin, have remained largely unsatisfactory in treating this pain. We report the case of a 50-year-old woman presenting with chronic unrelenting abdominal pain due to severe diabetic gastroparesis that was managed successfully with coeliac plexus block with local anaesthesia and steroid injection. Adequate analgesia was achieved and maintained for 10 weeks following the coeliac plexus block, which allowed elimination of opiate requirements for pain management (and avoidance of narcotic associated constipation), continuation of percutaneous endoscopy jejunostomy tube feedings, and avoidance of long term parenteral nutrition.
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U2 - 10.1136/bcr.06.2009.1986
DO - 10.1136/bcr.06.2009.1986
M3 - Article
AN - SCOPUS:77954601723
SN - 1757-790X
JO - BMJ case reports
JF - BMJ case reports
ER -